Loading...
HomeMy WebLinkAboutMechanical Permit 13. 0612 CI (7\Z n 000000 -1 1 0 > � n k n ® �� m 33 0 $ ° $ ) 0 k \ k k\ m E� � E 0-z z / - -0 M r < 000 m $ % > P 273 10 k j $ Q 0 0 a x\ § Si % / z 2 A j 0 ` >Z ® \ N _ m 2J§ ~ 00000 0 i f \ §§§ / qr ®$Mr 2 ® ° ° I XC m?& 13 n , @ ) 0 0 / m \ ~ \ EZIS - Z PO 2 \ \I % m e g w \ >0oo 0■ -• m zi % / } i \ rZ77 @ § 2 z § PA � ~& r- p § I \ \ I �` o . % 2 000000 ' z / > z \ k k§ 3 § ' \ N N % E . 0 - 0 �� \ 0 E o0 \ 7 \ § � � ■ § 2 ®z m r\ . -I r - 0 � i • r Rio A CITY OF PRIOR LAKE Date Rec'd • . HEATING /AIR CONDITIONING/FIREPLACE PERMIT ( t{ , /,3 4 *AIN ;so I. Pink File PERMIT NO . 666 / 2. Careen City / 3 -642, j 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3 na lard Uieckp ILI- • ' / • LEGAL DESCRIPTION (office use only) " LOT `l BLOCK ADDITION- A.5G1*Ui / //e60 3 / A,0 / PID 45 ©/5-0 (Nam Art l i f titl%tlael ssLo (Phone) (OI 'I1V, c6Y (Address) ( sir 8 a, 5t 1 t e.� APPLICANT . (Name) l�4"ol 1 et M tole (Phone)? 33 63C )3 (Address) alb 1 ► Sk l• , & — ''(� (' ddress) (City) 2 � � (Zip Code) (Contact Person) l 1/I la ♦ 4 (Phone) 7 (33 d ` "5 Y5/O / APPLICANT SIGNATURE , di, _ 4 . _ • DATE l0'! 0 'L3 i APP 1 ANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 042EPLAC MENT ❑ (. ALTERATIONS r r - FURNACE MAKE AND MODEL��I' .Q.t �L ` - -0(p oo bob e)tLd, FUEL , V (y„'-- c FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner DWarm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. rif Mechanical 0 Radiation E(Air Conditioning 0 Special Devices Fireplaces with Box Additions or :Went. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $5 00 e)° Building Permit # The Minnesota Statutes * 326B.148 HEATING PERMIT FEE $ Li cf 6" "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ 5 , V® July I. 2010, until June 30.2011. TOTAL PERMIT FEE $ 5'4 J r y The minimum surcharge for a "fixed fee" permit (Office Use Only) is s5, beginning July 1.2010 This n i,o ) ecome Your Building Permit When Approved a St.) Receipt No. / 911c7 ' 1 Date Building tq I [13 By • i: Offi (p l 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372